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This document is a medical history form used for orthopedic patients seeking physical therapy. It includes sections for patient information, current conditions, symptoms, treatment history, and goals for therapy.
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How to fill out orthopedic medical history

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How to fill out orthopedic medical history

01
Begin with basic patient information: name, date of birth, and contact information.
02
Record the reason for the orthopedic visit, including any specific symptoms.
03
Note the patient's medical history, focusing on previous orthopedic issues or surgeries.
04
Include details about the patient's family history related to orthopedic conditions.
05
Document any current medications and allergies.
06
Ask about lifestyle factors such as physical activity and occupation.
07
Record any relevant imaging or diagnostic tests the patient has undergone.
08
Summarize the findings and prepare a complete medical history document.

Who needs orthopedic medical history?

01
Patients experiencing musculoskeletal pain or injuries.
02
Individuals with a history of orthopedic surgeries.
03
Athletes requiring assessment for sports-related injuries.
04
Those with chronic conditions affecting mobility or joint health.
05
Individuals seeking a second opinion on orthopedic matters.
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Orthopedic medical history refers to a comprehensive record of an individual's previous and current orthopedic conditions, treatments, surgeries, and overall musculoskeletal health.
Healthcare providers, patients undergoing orthopedic treatment, or those seeking orthopedic evaluations are typically required to file an orthopedic medical history.
To fill out orthopedic medical history, individuals should provide detailed information about their medical background, including past injuries, surgeries, medications, and family history related to orthopedic issues.
The purpose of orthopedic medical history is to provide healthcare professionals with essential information to diagnose, treat, and manage orthopedic conditions effectively.
Information that must be reported includes personal details, past orthopedic injuries, surgeries, family history of orthopedic issues, medications, and any current symptoms or conditions.
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